DILIPKUMAR N PATEL (MD) – Gastroenterology Physician, NPI 1215903281
Gastroenterology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
829 GASTROENTEROLOGY in MA
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Provider Addresses for DILIPKUMAR N PATEL (MD)
190 QUINCY AVE
BROCHTON, MA 02302
Phone: (508) 587-1960
Fax: (508) 586-6160
Type: Mailing
1, Pearl Street, Brockton Heights, Brockton, Plymouth County, Massachusetts, 03201, United States
SUITE 2700
BROCKTON, MA 02301
Phone: (508) 588-3174
Type: Location
960 MASSACHUSETTS AVE
FL 2
BOSTON, MA 02118
Phone: (617) 414-5405
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $2,172.
Total Amount is formed as General ($2,172) + Research ($0) + Ownership ($0) = $2,172.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($800).
Total Amount
$2,172
General + Research + Ownership
Payments
70
Total payment records
General Amount
$2,172
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $800 |
| ABBVIE INC. | $243 |
| Gilead Sciences, Inc. | $214 |
| PFIZER INC. | $199 |
| Janssen Biotech, Inc. | $128 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-04-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050406001163 | I | Gastroenterology | MA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 400 | 251 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 124 | 104 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 91 | 91 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 80 | 80 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 60 | 60 | $0 |
Insurance plans in this area (ZIP 02302)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 54 | 53 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MA | |
| Gastroenterology, Internal Medicine | MA | |
| Nurse Practitioner | MA | |
| Internal Medicine | MA | |
| G A S T R O E N T E R O L O G Y | MA |
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